Do, Timothy Derrick

Do, Timothy Derrick is an individual health care provider with primary practice located at 4689 Us Highway 17 Suite 11, Orange Park FL 32003-4831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Do, Timothy Derrick can be contacted via phone (904) 269-7007.

Contact Information

Primary practice address
4689 Us Highway 17 Suite 11 Orange Park FL 32003-4831
Phone: (904) 269-7007
Fax: (866) 264-0529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 150583 District of Columbia
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME111835 Florida

Profile Details

NPI number 1043464639
LBN Legal business name Do, Timothy Derrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2008
Last updated Jan 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043464639 NPPES
Florida MEDICAID 009327000

Popular Providers